| NPI | 1982976155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 3953) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2022-10-11 |